Organization Active NPI

Elite Care Residence

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1609700178
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ELITE CARE RESIDENCE
Practice address
11451 Lakepointe St
Detroit, MI 48224-1607
Phone
(313) 729-0021
NPI assigned
Jun 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lagonia RogersNPI 1730576349
Title
Owner
Phone
(313) 729-0021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

11451 Lakepointe St
Detroit, MI 48224-1607

Mailing address

47352 Cherry Valley Dr
Macomb, MI 48044-5904
Phone (313) 729-0021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1609700178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47352 CHERRY VALLEY DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445904",
            "telephone_number": "313-729-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11451 LAKEPOINTE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241607",
            "telephone_number": "313-729-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LAGONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-729-0021"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.